Individual
JEMEL ANTONIO POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 W 28TH ST, JACKSONVILLE, FL 32209-4012
(904) 576-5756
Mailing address
1130 W 28TH ST, JACKSONVILLE, FL 32209-4012
(904) 576-5756
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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